胸骨上举术治疗儿童漏斗胸疗效观察  

Elevating Sternum Procedure for Children Pectus Excavatum

作　　者：高卫华[1] 李维光[2] 刘威[2] 梁建华[2] 白剑[1] 潘永斌[1] 

机构地区：[1]广州中医药大学附属南海妇产儿童医院,528200 [2]广州市儿童医院,510120

出　　处：《中国误诊学杂志》2006年第9期1625-1626,共2页Chinese Journal of Misdiagnostics

摘　　要：目的：探讨胸骨上举（Ravitch术式）治疗儿童漏斗胸的效果.方法：回顾分析1989-07～2005-04 75例儿童漏斗胸采用改良的Ravitch术式,胸骨上举,胸骨后钢板支架固定和随访病例资料,参阅国内外文献,进行分析研究.结果：除2例早期钢板移位,术后3 d内再次手术固定外,其余患儿手术过程均很顺利,术后愈复良好.66例随访0.5～11a,除3例前胸壁轻度凹陷外,其余患儿胸廓外观正常.患儿生长发育及运动能力均与正常同龄儿基本相同.结论：儿童漏斗胸采用改良Ravitch术式,胸骨上举,胸骨后钢板固定,无不良合并症,矫形效果满意.微创Nuss术式为一种新方法,合并症较多,但兼有矫形和美容功效,有待今后开拓、优化.Objective：To investigate the effect of elevating stermum on the congenital pectus excavatum. Methods：75 cases of children congenital pectus excavatum were treated by modified traditional Ravitch procedure： elevating sternum stabilized with the steel bar behind sternum and the data of follow-up were retrospectively analyzed. Results： Except two cases of the bar displacement early in postoperation, the operations in other patients were successful with good repair and no complication. 66 cases were followed up for 1/2 to 11 years. The chest walls were normal except for 3 cases of slight introcession of anterior chest wall. Conclusions：The children congenital pectus excavatum treated by modified Ravitch procedure showed no complication and good orthopedic effect.

关 键 词：漏斗胸/外科学 矫形外科学 

分 类 号：R726.55[医药卫生—儿科]